Deficiency Records for Northwood Rehabilitation and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Northwood Rehabilitation and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide or obtain dental services for each resident. | Health | 2023-08-10 | 2023-09-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-10 | 2023-09-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-10 | 2023-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-10 | 2023-09-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-10 | 2023-09-08 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-10 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-10 | 2023-09-08 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-10 | 2023-09-08 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-08-10 | 2023-09-08 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-10 | 2023-09-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-10 | 2023-09-08 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-08-10 | 2023-09-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-10 | 2023-09-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-22 | 2022-12-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-22 | 2022-12-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2022-11-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-06 | 2022-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-26 | 2022-11-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-26 | 2022-11-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-06 | 2022-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2022-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-06 | 2022-11-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-26 | 2022-10-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-26 | 2022-10-24 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-26 | 2022-10-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-26 | 2022-10-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-09-26 | 2022-10-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-26 | 2022-10-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-26 | 2022-10-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-26 | 2022-10-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-09-26 | 2022-10-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-26 | 2022-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-26 | 2022-10-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-26 | 2022-10-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-26 | 2022-10-24 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-09-26 | 2022-10-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-26 | 2022-10-24 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-09-26 | 2022-10-24 | N |
| Provide or obtain dental services for each resident. | Health | 2022-09-26 | 2022-10-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-26 | 2022-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-26 | 2022-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-26 | 2022-03-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-26 | 2022-03-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-26 | 2022-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-09 | 2021-04-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-19 | 2021-04-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-03-19 | 2021-04-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-19 | 2021-04-27 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-19 | 2021-04-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-19 | 2021-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-19 | 2021-04-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-19 | 2021-04-27 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-19 | 2021-04-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-03-19 | 2021-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-19 | 2021-04-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-19 | 2021-04-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-19 | 2021-04-27 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-03-19 | 2021-04-27 | N |
| Provide or obtain dental services for each resident. | Health | 2021-03-19 | 2021-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-19 | 2021-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-19 | 2021-04-27 | N |
